Search › Virginia › 207W00000X
Prema Modak, MD
NPI 1689894578 · on the registry since 2007
Practice
- Address
- 3998 Fair Ridge Dr Ste 105
Fairfax, VA 22033 - Phone
- (571) 349-2191
- Organisation at this address
- Revive Medicine Llc
Fair Oaks Ortho, Pllc
Fair Oaks Ortho, Pllc
Family Care Of Fairfax
Kathleen M. Curtis Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 54
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 207W00000X
- Licence states on file
- MD, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia